Individual
KAYLEIGH RANEE SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
226 S. UNION AVE., STE. 214, PUEBLO, CO 81003
(719) 828-3967
Mailing address
1774 KILLDEER CT, PUEBLO, CO 81008-2167
(719) 248-5844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002442
CO
101YP2500X
Professional Counselor
Primary
LPC.0023137
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NOT AVAILABLE
—
Enumeration date
10/04/2022
Last updated
03/20/2026
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